306006402-2-19-2026-22-AS-KSGH-DUPVLZ-20260603163246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306006402
Report Date: 02/19/2026
Date Signed: 02/19/2026 02:47:56 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/12/2024 and conducted by Evaluator Jerome Haley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20240812165107

FACILITY NAME:	IVY PARK AT SEAL BEACH		FACILITY NUMBER:	306006402
ADMINISTRATOR:	TURGEON, JENNIFER		FACILITY TYPE:	740
ADDRESS:	3850 AND 3840 LAMPSON AVE		TELEPHONE:	(562) 594-5788
CITY:	SEAL BEACH	STATE: CA	ZIP CODE:	90740
CAPACITY:	261	CENSUS: 174	DATE:	02/19/2026
		UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Tami Oiwang		TIME COMPLETED:	01:59 PM

ALLEGATION(S):

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Staff did not provide services as agreed in resident's Admission Agreement.
Staff confined resident to a wheelchair.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to complete the complaint investigation and deliver the findings. LPA Haley explained the reason for the visit upon entry. The complaint investigation consisted of interviews with facility staff, resident family members, and document review. A total of ten interviews were conducted, and two more interviews were attempted.

Regarding the allegation: Staff did not provide services as agreed in resident's Admission Agreement.

8 of 10 individuals interviewed provided information that contradicts the complaint allegation. Document review also revealed information that contradicts the complaint allegation.

A review of Resident 1 (R1) initial Assessment and Service Plan dated August 5, 2023, under #14.) Bathing - the selection made was marked (a.) requires no assistance with showering/bathing. Under SP14 Service Plan: Bathing - The selected goal: Will remain independent with bathing.
Continued on LIC9099C

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20240812165107

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: IVY PARK AT SEAL BEACH	FACILITY NUMBER: 306006402
	VISIT DATE: 02/19/2026

NARRATIVE

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During interviews Staff 1 (S1) stated, I think the resident (R1) needed it, but we were not charging them for it. It was like 10-days or 2-weeks and we were appeasing them, but the resident could not shower independently. According to S2, R1 would refuse showers due to sun downing behavior. The facility attempted to change the time of R1’s showers but that did not work.
During a review of an updated Service Plan for R1 dated January 3, 2024, due to a change in condition a change was made to R1’s care and the service plan was updated. R1 bathing needs changed. #14.) Bathing: The selection was changed to: (e.) requires hands on assistance for all showering/bathing needs (1-2x/week). The goal was also changed as well. On the updated service plan, under SP14 Service Plan: Bathing - The selected goal: Will be able to meet bathing needs with assistance.
According to S2, R1’s family only wanted one shower a week, but the facility staff said they encourage two showers a week.

Regarding the allegation: Staff confined resident to a wheelchair.
8 of 10 individuals denied the allegation. S7 denied the allegation and said they never seen anyone do anything bad to R1. S7 also denied hearing any complaints about S5 from R1. S5 says they only worked with R1 one time. S5 explained that they would observe R1 using a walker, then S5 saw R1 using a wheelchair. According to S5, when the staff was working with the R1, the resident complained of leg pain so S5 said they took R1 out in a wheelchair because they were scared R1 would fall. S3 also denied the allegation, and stated R1 started complaining of pain and was struggling with ambulating. S3 says R1's mobility decreased and R1 began using a wheelchair. S3 also added there have been no complaints about S5 and most of the residents love S5.

A review of a R1’s physicians report with an exam date of March 18, 2024, reveal R1 suffered from muscle weakness, and difficulty walking. Further, an inventory list from a Skilled Nursing Facility (SNF) signed by a family member of R1, dated January 8, 2024, reveal R1 had a black wheelchair cushion on their inventory list upon admission to the SNF and when discharged from the SNF.

Based on the information gathered during interviews, and document review, both allegations are deemed unfounded, meaning the allegations are false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was provided.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2026

LIC9099 (FAS) - (06/04)

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